SCHOLARSHIP APPLICATION

( ) Academic ( ) Athletic (Select one or both)

Academic and Athletic Scholarship Requirements:

2. The applicant must complete the standard application of the Clifton Forge High School Alumni Association and submit it to the Board of Directors of CFHSAA, by April 14th of the year the scholarship is to be awarded.

3. The recipient must have a 2.5 grade point average in high school or college.

4. Extreme family financial need is not a requirement. In the event that two or more applicants appear equally qualified, financial need could become the determining factor.

5. Applicants for the Athletic Scholarship must have competed in one or more Varsity Sports.

6. Applicants must submit a recommendation of the high school or college guidance department, and/or athletic department from which the applicant is about to graduate or is enrolled.

The recipient is selected by representatives from the CFHS Alumni Association Board of Directors (appointed by the President).

Applications can be mailed to:

Clifton Forge High School Alumni Association
PO Box 118
Clifton Forge, Va. 24422

Additional information may be obtained by contacting Jimmie Houff, Karen Deaton Buzzard, Karen Deaton Hammond, or Suzy Jenkins Mullikin, at email addresses found on the Officers webpage.

APPLICATION

1. Name ___________________________________________________________

2. Address __________________________________________________________

City, State, Zip ___________________________________________________________

3. Phone: (_____) _____________________

4. Date of birth: Month_______ Day_______ Year _______ Sex: ________

5. Ages of other children at home: ___________________________;
If any in college, Indicate where: ____________________________________________________

6. Father's Employer: _________________________________________________

Mother's Employer: _________________________________________________

7. Name of parent or grandparent who is an alumnus of Clifton Forge High School and year of attendance or graduation. If more than one, please indicate all:
________________________________________________________________________________________

________________________________________________________________________________________

8. I am planning to attend or am attending (school or college)
__________________________________________
located ___________________________________, and majoring in ____________________________________
I (have, have not)_________ been accepted. Estimated cost per year is ___________________.

Responses to 9-12 can be typed and submitted separately.

9. If applying for the Athletic Scholarship, list Varsity Sports, awards and recognition.
__________________________________________________________________________________________

__________________________________________________________________________________________

10. Work experience and civic or social activities, part / full time, not directly related to school work:

_______________________________________________________________________________________

11. Student/school activities and organizations in high school/college, including honors and awards received, if any:

______________________________________________________________________________________

12. Explain in approximately 200 words (attaching an extra sheet if necessary) your need for scholarship assistance and your plan for financing your college education:

Your current Grade Point Average ____________

_______________ (date)

______________________________________
Signature of Student

______________________________________
Signature of Parent or Guardian